Jack D Runyan, PA, PHD - Medicare Physician Assistant in Fairfield, TX

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Jack D Runyan, PA, PHD is a medicare enrolled "Physician Assistant - Medical" in Fairfield, Texas. His current practice location is 734 W Commerce St, Fairfield, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 572-4000.

Jack D Runyan is licensed to practice in Texas (license number PA 01154) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245476282.

Contact Information

Jack D Runyan, PA, PHD
734 W Commerce St,
Fairfield, TX 75840
(956) 572-4000
Not Available

Map and Direction




Provider's Profile

Full NameJack D Runyan
GenderMale
SpecialityPhysician Assistant - Medical
Location734 W Commerce St, Fairfield, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245476282
  • Provider Enumeration Date: 12/22/2008
  • Last Update Date: 08/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4688624331
  • Enrollment ID: I20050131000249

Medical Identifiers

Medical identifiers for Jack D Runyan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245476282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA 01154 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jack D Runyan allows following entities to bill medicare on his behalf.
Entity NameHcc of Fairfield LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487122750
PECOS PAC ID: 3072859099
Enrollment ID: O20190114000163
Entity NameBest Urgent Care, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720621246
PECOS PAC ID: 8022448877
Enrollment ID: O20200420001797

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack D Runyan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack D Runyan, PA, PHD
734 W Commerce St,
Fairfield, TX 75840-1428

Ph: (903) 389-2181		Jack D Runyan, PA, PHD
734 W Commerce St,
Fairfield, TX 75840

Ph: (956) 572-4000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.